The disease we call regional hyperhidrosis is the general name given to the problem of excessive sweating in the hands, armpits or feet that occurs in some people. These patients sweat more than normal people. This situation, which can cause psychological problems leading to isolation from social life, is resolved with the ETS sympathectomy operation.
In patients who are proven to have no organic disease, the ETS operation lasts approximately 45 minutes and a 5 mm incision is made in the armpit area accompanied by a video camera. Blocking is performed by inserting a 5 mm long clip endoscopically into the sympathetic nerve that stimulates the sweating area. Immediately after the clip is placed, sweating stops in the hands or armpit area and a significant temperature difference occurs.
Rarely, in some patients, excessive sweating may occur in different parts of the body, which we call reflex sweating. In this case, reversal is achieved by removing the surgically placed clip. However, if the nerve is cut and the procedure is performed during sympathectomy, it may be necessary to perform nerve repair and interposition.
ETS operation can also be applied to facial redness, which we call flushing. In cases of regional hyperhidrosis or flushing, satisfactory results are obtained thanks to the ETS operation. There is a significant improvement in the quality of life surveys we administer to patients before and after the operation. In addition, it is seen that this problem disappears in patients who complained of social phobia before the operation. After the surgical operation, patients are discharged after a 1-day hospital stay and return to normal life within 4-5 days.
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